Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vicksburg Clinic LLC

Organization Rural Health Clinic/Center · NPI 1174494975

Vicksburg Clinic LLC is a Rural Health Clinic/Center in Vicksburg, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3317 Pemberton Square Blvd
Vicksburg, MS 39180-5578
Phone: (601) 636-1173
Fax: (601) 630-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1174494975
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVicksburg Clinic LLC
Authorized official Kristy Music — Director Provider Enrollment / Ao · (615) 465-7377
Other names Merit Health Medical Group
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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